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CARROW STREET PEDIATRICS PLLC NPI 1902098494


NPI Information

NPI: 1902098494
Provider Name: CARROW STREET PEDIATRICS, PLLC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
24 CARROW ST
ORCHARD PARK, NY
ZIP 14127
Phone: (716) 662-3443
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CARROW STREET PEDIATRICS, PLLC is an adolescent medicine pediatrics in Orchard Park, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. CARROW STREET PEDIATRICS, PLLC NPI is 1902098494. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24 CARROW ST
ORCHARD PARK, NY
ZIP 14127-604
Phone: (716) 662-3443
Fax: (716) 662-3443

The provider's authorized official is Steven D Weiss .
The authorized official title is Managing Partner and has the following contact phone number (716) 662-3443.

The enumeration date for this NPI number is 8/17/2007 and was last updated on 6/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent Medicine141284NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103045943MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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